E.R.I.C.A.Electroencephalographic Resuscitation Index Computer Aided

Roberto Mancina study about mutism in

Pediatric Intensive Care Unit (PICU)

Input

Sensory

Output

Free will Motor

Child-Computer-Interaction

First InchMUTE

MUTE

MUTE

01011

Last mile

Sensory Free will

ASG EEG

Last mile vs First inch in PICU

First Inch

ERICA: a study about mutism in PICU• Access to Assistive/Augmentative Serious

Game (ASG) by children who can hear but cannot talk

• Medical: inopportunity to speak but can hear

• Selective: inability to speak but can hear

• LIS (akinetic): voiceless and paralyzed but…

• CLIS: Complete Locked-In Status but ???

• Brain death

29/8/1992: from bike to coma

From Deep Coma to RecoveryDeep Coma

Arosual (eye opening) Awareness (no reflex movements)

Phase 0: inability to answer: yes/no/? Phase 1: ability only to answer: yes/no/?

Out of ICU(…)

Out of hospital(…)

Recovery

Phase 0

Demo: youtu.be/e-u7_F5GNTE

ERICAElectroencephalographic Resuscitation

Index Computer Aided

• It is assumed that the younger is the patient the more severe and potentially irreversible are traumatic effects

ERICAElectroencephalographic Resuscitation

Index Computer Aided

• In phase 0 awarness level is variable with time

• A Computer Aided Index is a very important tool • to evaluate awarness

level in PICU many times during the day

• to listen to the deep…

Questions?